MICHAEL J DEROGATIS MD
NPI 1376821140
Student in an Organized Health Care Education/Training Program in Cooperstown, NY
About Michael J Derogatis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL J DEROGATIS MD (NPI 1376821140) is an individual student in an organized health care education/training program in Cooperstown, New York and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Bethlehem.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael J Derogatis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Michael Derogatis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Derogatis's NPI number?
The NPI number for Michael Derogatis is 1376821140. It was assigned to this individual provider in the NPPES registry on July 28, 2011.
Where is Michael Derogatis located?
Michael Derogatis practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.
What is Michael Derogatis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Michael Derogatis enrolled in Medicare?
Yes. Michael Derogatis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Michael Derogatis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Derogatis reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Derogatis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Derogatis affiliated with any hospitals?
According to CMS data, Michael Derogatis is affiliated with St Luke's Hospital Bethlehem.
When was this NPI record last updated?
The NPPES record for Michael Derogatis was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michael J Derogatis, MD · NPI 1376821140
Student in an Organized Health Care Education/Training Program provider in Cooperstown, New York. Individual provider, active in the CMS NPPES registry since July 28, 2011.
## Identity
- **NPI:** 1376821140 (Entity type: Individual)
- **Enumerated:** July 28, 2011
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 ATWELL RD, Cooperstown, NY 13326-1301
- **Phone:** (607) 547-3456 · **Fax:** (607) 547-6612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 24, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1376821140) · Data from the CMS NPPES public registry.